Baby food recommended lower levels of lead by the FDA

Image source: Green Matters

Baby food: The US Food and Drug Administration published a new draft advice on infant food on Tuesday.

The guidelines addressed the lead content of various infant and toddler meals, stating that it should be kept to a maximum of 20 parts per billion.

New proposals

The FDA Commissioner, Dr. Robert Califf, issued a statement in which he says:

“For babies and young children who eat the food covered in today’s draft guidance, the FDA estimates that these action levels could result as a 24-27% reduction in exposure to lead from these foods.”

The latest proposal includes manufactured baby food for infants and kids under the age of two that comes in cartons, jars, pouches, and tubs.

According to Jane Houlihan, national director of science and health for Healthy Babies, Bright Futures, any action by the FDA is appreciated.

She asserted that the proposed lead levels are too high.

“Nearly all baby foods on the market already comply with what they have proposed,” said Houlihan.

She published a report in 2019 that found excessive levels of lead and other heavy metals (95%) in processed baby food.

The information in the report prompted a congressional inquiry in 2021, which revealed that the producers of baby food were aware they were selling goods with excessive quantities of hazardous metals.

“The FDA hasn’t done enough with these proposed lead limits to protect babies from young children from lead’s harmful effects,” said Houlihan.

“There is no known safe level of lead exposure, and children are particularly vulnerable.”

Concerns

Brian Ronhom, the head of food policy for Consumer Reports, expressed concern along with Jane Houlihan.

Consumer Reports examined more than 50 infant meals five years ago and found “concerning” amounts of heavy metals.

They stated that children who consumed one serving or fewer each day of 15 of the baby foods might be at danger.

Ronholm issued a statement in which he says:

“The FDA should be encouraging the industry to work harder to reduce hazardous lead and other heavy metals in baby food, given how vulnerable young children are to toxic exposure.”

The American Academy of Pediatrics addressed the issue of infants and children being exposed to harmful heavy metals, stating:

“It’s been linked with problems with learning, cognition, and behavior.”

What parents can do

Given the attention brought to the presence of hazardous metals in infant food, parents may be wondering how they may limit their exposure.

Although there are options for organic or homemade baby food, experts claim that vegetables found in supermarkets also have a lot of contaminants.

According to a 2022 Healthy Babies, Bright Futures study, lead was discovered in 80% of store-bought or home-made purees.

Meanwhile, 72% of family meals cooked at home contained arsenic.

To reduce exposure, experts advised diversifying the foods consumed every day.

Additionally, they have access to the foods on their chart that have the least contamination.

Read also: Children have high chance of contracting more diseases if they test positive for Covid and respiratory virus

Avoiding heavy metals in baby food

In 94% of homemade and store-bought baby food, the following metals were discovered, according to a Healthy Babies, Bright Futures investigation:

  • Arsenic
  • Cadmium
  • Lead
  • Mercury

1.8 parts per billion of heavy metals were found in fresh bananas, according to the research, making them the least contaminated food.

Grits and the following prepared baby foods were placed after them:

  • Meats
  • Butternut squash
  • Lamb
  • Apples
  • Pork
  • Eggs
  • Oranges
  • Watermelon

Other foods with minor contamination levels include:

  • Green beans
  • Peas
  • Cucumbers
  • Soft/pureed home-cooked meats

Meanwhile, rice-based baby meals had the greatest contamination levels.

Inorganic arsenic, the more deadly form of arsenic, was abundant in brown rice, crisped rice cereals, rice cakes, and rice puffs.

After rice-based food, the investigation found that raisins, non-rice teething crackers, granola bars with raisins, and oat ring cereals had significant amounts of heavy metals.

Other substances with high concentrations of at least one hazardous metal consist of:

  • Arrowroot teething crackers
  • Dried fruit
  • Grape juice
  • Sunflower seed butter

Choosing organic food might not lessen the amount of heavy metals in baby food, according to Dr. Leonardo Trasande, the director of environmental pediatrics at NYU Langone Health.

Toxins like pesticides and herbicides could be avoided as a result, however.

“There are other benefits to eating organic food, including a reduction in synthetic pesticides that are known to be as bad for babies, if not more problematic,” said Trasande.

More action demanded

They had only previously established limitations for heavy metals in newborn rice cereal prior to the FDA decision.

The agency established a limit of 100 parts per billion for arsenic two years ago because it was linked to neurotoxic effects on development and poor pregnancy outcomes.

There is still room for improvement, according to Scott Faber, senior vice president of government affairs at the Environmental Working Group.

“We can change where we farm and how we farm to reduce toxic metals absorbed by plants,” said Faber.

“We also urge baby food manufacturers to conduct continuous testing of heavy metals in all their products and make all testing results publicly available.”

According to Jane Houlihan, companies might demand that suppliers and growers analyze the food they produce and the soil they use, then choose to purchase from those that use the fewest amounts of heavy metals.

“Growers can use soil additives, different growing methods, and crop varieties known to reduce lead in their products,” said Houlihan.

Baby food recommended lower levels of lead by the FDA

Image source: Green Matters

Baby food: The US Food and Drug Administration published a new draft advice on infant food on Tuesday.

The guidelines addressed the lead content of various infant and toddler meals, stating that it should be kept to a maximum of 20 parts per billion.

New proposals

The FDA Commissioner, Dr. Robert Califf, issued a statement in which he says:

“For babies and young children who eat the food covered in today’s draft guidance, the FDA estimates that these action levels could result as a 24-27% reduction in exposure to lead from these foods.”

The latest proposal includes manufactured baby food for infants and kids under the age of two that comes in cartons, jars, pouches, and tubs.

According to Jane Houlihan, national director of science and health for Healthy Babies, Bright Futures, any action by the FDA is appreciated.

She asserted that the proposed lead levels are too high.

“Nearly all baby foods on the market already comply with what they have proposed,” said Houlihan.

She published a report in 2019 that found excessive levels of lead and other heavy metals (95%) in processed baby food.

The information in the report prompted a congressional inquiry in 2021, which revealed that the producers of baby food were aware they were selling goods with excessive quantities of hazardous metals.

“The FDA hasn’t done enough with these proposed lead limits to protect babies from young children from lead’s harmful effects,” said Houlihan.

“There is no known safe level of lead exposure, and children are particularly vulnerable.”

Concerns

Brian Ronhom, the head of food policy for Consumer Reports, expressed concern along with Jane Houlihan.

Consumer Reports examined more than 50 infant meals five years ago and found “concerning” amounts of heavy metals.

They stated that children who consumed one serving or fewer each day of 15 of the baby foods might be at danger.

Ronholm issued a statement in which he says:

“The FDA should be encouraging the industry to work harder to reduce hazardous lead and other heavy metals in baby food, given how vulnerable young children are to toxic exposure.”

The American Academy of Pediatrics addressed the issue of infants and children being exposed to harmful heavy metals, stating:

“It’s been linked with problems with learning, cognition, and behavior.”

What parents can do

Given the attention brought to the presence of hazardous metals in infant food, parents may be wondering how they may limit their exposure.

Although there are options for organic or homemade baby food, experts claim that vegetables found in supermarkets also have a lot of contaminants.

According to a 2022 Healthy Babies, Bright Futures study, lead was discovered in 80% of store-bought or home-made purees.

Meanwhile, 72% of family meals cooked at home contained arsenic.

To reduce exposure, experts advised diversifying the foods consumed every day.

Additionally, they have access to the foods on their chart that have the least contamination.

Read also: Children have high chance of contracting more diseases if they test positive for Covid and respiratory virus

Avoiding heavy metals in baby food

In 94% of homemade and store-bought baby food, the following metals were discovered, according to a Healthy Babies, Bright Futures investigation:

  • Arsenic
  • Cadmium
  • Lead
  • Mercury

1.8 parts per billion of heavy metals were found in fresh bananas, according to the research, making them the least contaminated food.

Grits and the following prepared baby foods were placed after them:

  • Meats
  • Butternut squash
  • Lamb
  • Apples
  • Pork
  • Eggs
  • Oranges
  • Watermelon

Other foods with minor contamination levels include:

  • Green beans
  • Peas
  • Cucumbers
  • Soft/pureed home-cooked meats

Meanwhile, rice-based baby meals had the greatest contamination levels.

Inorganic arsenic, the more deadly form of arsenic, was abundant in brown rice, crisped rice cereals, rice cakes, and rice puffs.

After rice-based food, the investigation found that raisins, non-rice teething crackers, granola bars with raisins, and oat ring cereals had significant amounts of heavy metals.

Other substances with high concentrations of at least one hazardous metal consist of:

  • Arrowroot teething crackers
  • Dried fruit
  • Grape juice
  • Sunflower seed butter

Choosing organic food might not lessen the amount of heavy metals in baby food, according to Dr. Leonardo Trasande, the director of environmental pediatrics at NYU Langone Health.

Toxins like pesticides and herbicides could be avoided as a result, however.

“There are other benefits to eating organic food, including a reduction in synthetic pesticides that are known to be as bad for babies, if not more problematic,” said Trasande.

More action demanded

They had only previously established limitations for heavy metals in newborn rice cereal prior to the FDA decision.

The agency established a limit of 100 parts per billion for arsenic two years ago because it was linked to neurotoxic effects on development and poor pregnancy outcomes.

There is still room for improvement, according to Scott Faber, senior vice president of government affairs at the Environmental Working Group.

“We can change where we farm and how we farm to reduce toxic metals absorbed by plants,” said Faber.

“We also urge baby food manufacturers to conduct continuous testing of heavy metals in all their products and make all testing results publicly available.”

According to Jane Houlihan, companies might demand that suppliers and growers analyze the food they produce and the soil they use, then choose to purchase from those that use the fewest amounts of heavy metals.

“Growers can use soil additives, different growing methods, and crop varieties known to reduce lead in their products,” said Houlihan.

Medication abortion rule change could see pharmacies dispense pills in more states

Medication abortion is a safe and effective method of ending a pregnancy during its early stages.

It involves taking medications that cause the uterus to contract and expel the pregnancy.

There are two main medications used in medication abortion: mifepristone and misoprostol.

Mifepristone is taken first and works by blocking the hormone progesterone, which is necessary for the pregnancy to continue.

Misoprostol is taken 24-48 hours later and causes the uterus to contract and expel the pregnancy.

Medication abortion is typically offered up to 10 weeks after the last menstrual period, but it may be available up to 24 weeks in some cases.

It is generally more effective the earlier it is done.

Distribution of the pills

In the United States, the distribution of abortion pills is regulated by the Food and Drug Administration (FDA). 

The FDA has approved mifepristone and misoprostol for medication abortion, and they can only be prescribed by a licensed healthcare provider.

There are some restrictions on the distribution of abortion pills, such as the requirement that they are provided in person by a healthcare provider rather than being mailed or shipped directly to patients.

Additionally, certain states have laws that impose additional restrictions on the provision of abortion pills, such as mandatory waiting periods or required in-person counseling.

Rule change

Following a change in FDA rules, pharmacy chains CVS and Walgreens shared plans to seek certification to distribute abortion pills in legal areas.

On Tuesday, the FDA’s website said that pharmacies certified to dispense mifepristone could directly send it to people with a certified prescription.

The change allows outpatient pharmacies to dispense mifepristone, but not all pharmacies will dispense the medication.

“In terms of whether or not that is going to have any impact in states where abortion is banned, I think the answer is probably not,” said law professor Lewis Grossman.

“I don’t see any real effects there.”

University of Michigan law professor Leah Litman chimed in, saying:

“It’s not at all clear that many or all or most pharmacies, or pharmacies in more rural areas, or pharmacies in red states will do so in ways that meaningfully increases access to medication abortion.”

“Mail order pharmacies have already been dispensing pills with the FDA’s permission,” she added.

“So the possibility of getting medication abortion existed before this latest decision.”

Read also: Parenting Tip: 6 Simple Ways a Single Parent Can Have a Work-Life Balance

Pharmacies

On Wednesday, Walgreens released a statement saying it is working through the registration pharmacist training and evaluating its pharmacy network.

Meanwhile, CVS plans to seek certification to dispense mifepristone where it’s legal.

On Tuesday, online pharmacy Honeybee Healthy posted on its official Facebook page that it is officially the first pharmacy certified to dispense medication abortion.

As a result, the online pharmacy can distribute pills in states that allow it to.

“At the onset of the pandemic, Honeybee Health quickly became the first digital pharmacy to supply and ship medication abortion,” the official statement read.

“We are proud to partner with the majority of telemedicine abortion providers in the US and to work closely with our manufacturer to help set the high standards required for certification in response to the FDA’s adjustment to the REMS program.”

REMS is the Risk Evaluation and Mitigation Strategy program utilized for mifepristone.

However, as it can be complicated, many other pharmacies will take time to review and decide if they should go through the certification process.

“Mifepristone is not the kind of drug for which any kind of pharmacy certification is normally required,” said Grossman.

“And this particular pharmacy certification regime seems much more onerous than one would expect for a random drug with a similar safety profile.”

Meanwhile, the American Society of Health-System Pharmacists released a statement saying:

“FDA’s change does not mandate that pharmacies must stock or dispense mifepristone, nor does it supersede any state laws that restrict prescribing or dispensing of the medication.”

Impact on abortion

According to Leah Litman, there are still questions about how the changes affect the abortion access landscape.

She said:

“It’s still not clear that the latest FDA move means that states couldn’t enforce different abortion restrictions against doctors who prescribe medication abortion, or pharmacists who fulfill prescriptions, or people who take medication abortion to induce an abortion.”

It’s also unclear if people living in anti-abortion states can use telehealth services for mifepristone prescriptions and have it mailed.

According to the principal policy associate of state issues at the Guttmacher Institute, Elizabeth Nash, the pills remain banned in places banning abortion before the FDA rule change.

“The FDA’s change in allowing dispensing at pharmacies means that there are more options for access for people in states where abortion is not heavily regulated and abortion rights are protected,” said Nash.

“Where abortion has been banned, abortion remains banned.”

“What we are seeing now is that if a state has banned abortion, then medication abortion is unavailable,” she continued.

“And I think we’re going to see how this tension plays out between the FDA’s authority over drugs and devices and the state laws.”

“We may see some court cases around this very issue as to FDA’s authority and state law,” Nash added.

Reception

Andrea Miller of the National Institute for Reproductive Health praised the FDA’s decision, saying it was an important step forward.

However, she pointed out that there is an “unfortunate reality.”

“The unfortunate reality is that there are more than a dozen states right now where abortion is illegal or close to fully illegal, it is banned,” Miller elaborated.

“And unfortunately, just like people are forced to do now, it is likely that some people in states where abortion is banned may choose to travel to another state to seek medication abortion.”

“We don’t believe that anyone should be forced to travel in that way, and certainly, as this moves forward, there are a lot of very smart lawyers who are looking at the question of how they’ll be incorporated into drugstores and pharmacy chains, and where that can happen – and how these different federal and state provisions interplay.”

With today’s political climate, Leah Litman believes it’s not clear if the Supreme Court will say the FDA’s rule change “preempts” state laws that restrict access to medication abortion.

Reference:

Some major pharmacies are planning to dispense abortion pills, but not in every state